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Individual

MR. JON PATRICK FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
111 COLCHESTER AVE, UNIVERSITY OF VERMONT MEDICAL CENTER, BURLINGTON, VT 05401-1473
(802) 847-7911
(802) 847-5784
Mailing address
111 COLCHESTER AVE, UNIVERSITY OF VERMONT MEDICAL CENTER, BURLINGTON, VT 05401-1473
(802) 847-7911
(802) 847-5784

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0031312
VT
363AM0700X
Medical Physician Assistant

Other

Enumeration date
05/18/2013
Last updated
07/07/2020
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